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CALIFORNIA INSTITUTE OF
TECHNOLOGY NONCOMPETITIVE JUSTIFICATION |
INSTRUCTIONS
This form must accompany a purchase requisition when noncompetitive
approval is requested for equipment, supplies, or services exceeding
$10,000.00.
1. Please type or print legibly and complete all
categories and sections that apply.
2. Provide full explanation, complete description, and/or
list all relevant reasons where space has been provided. The rationale must be clear and convincing,
avoiding generalities and unsupported conclusions.
3. Incomplete
forms or forms lacking sufficient detail cannot be approved and will be
returned possibly delaying issuance of a
Purchase Order.
4. Form must be signed and dated at the bottom.
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Date: |
Requisition No.: |
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To: |
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From: |
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Subject: |
Noncompetitive Justification |
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Proposed Supplier: |
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Product/Service Description: |
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Estimated Price: |
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STATEMENT
I am requesting a noncompetitive procurement based on
the following criteria. (Attach additional sheets as necessary):
SECTION I AND SECTION II MUST BE
COMPLETED
SECTION I
COMPLETE
ONLY THE PARTS OF THIS SECTION THAT APPLY
1.
The
requested product/service is an integral repair part or accessory compatible
with existing equipment.
A. Describe Existing Equipment:
B. Manufacturer/Model Number of existing
equipment:
C. Explain the relationship between current
equipment and requested product:
2. The requested product/service
has unique performance specifications
which are essential to my research protocol or other needs and are not
available from comparable service providers.
Explain
in detail:
3.
The
requested product/service is essential
in maintaining experimental or administrative continuity. Provide a thorough
explanation in “Explain in detail”
section below.
Requested product/service is being used in
continuing experiments;
Other investigators have used this product/service
in similar research and, for comparability of results, I require it;
I have standardized the requested product/service;
the use of another would require considerable time and money to evaluate.
4.
The requested product or service is one with
which I (or my staff) have specialized
training and/or extensive experience. Retraining would incur
substantial cost in money and/or time.
A.
Manufacturer/Model
of existing equipment:
B.
Estimated
hours/per person required to retrain:
C.
Numbers of
persons requiring retraining:
5. There is a firm schedule requirement which only one supplier has the
capability of meeting. In this instance,
the schedule requirement must be of such compelling and unusual urgency that
failure to meet the schedule will seriously impact a Caltech task/project. Provide evidence that other suppliers can
not meet your schedule.
6. There is a substantial technical risk
in contracting with any other supplier, thereby making that an unacceptable
course of action; e.g., where only one supplier has been successful to date in
implementing a difficult manufacturing process. Provide supporting
evidence of other supplier’s with relevant capabilities and their inability to overcome the
substantial technical risk.
7. Only known manufacturer/service
provider of this product/service:
A.
What
research/investigation has been done to support this claim (i.e. trade shows,
internet searches, professional journals, colleagues, etc.?:
B.
Please list
sources checked:
Note: A requirement
for a particular proprietary item does not justify a sole source procurement if
there is more than one potential bidder or distribution network authorized to
provide that item.
8. Other factors not addressed above which may
assist in the sole source justification review process are:
SECTION II
2. I have contacted other suppliers or service
providers identified below and considered their product/service of similar capabilities. These
products or services are not acceptable because they lack one or more of the
technical specifications/capabilities described in Section I above:
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MARKET RESEARCH (Other Suppliers Contacted) (Identify all other sources whose products/services
have been reviewed and why they are not satisfactory) |
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Supplier 1 |
Supplier 2 |
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Supplier Name: |
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Product/Service Description |
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Representative Contact: |
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Phone Number:
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Website URL: |
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Technical Deficiency / Capability: |
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Note: Attach
any quotes, web documents or documentation you have received from other
suppliers to support your rationale.
I am aware of Caltech’s
requirements for competitive bidding for purchases over $10,000.00 and the
criteria for justification for noncompetitive Purchasing. I have gathered the required technical
information and have made a concerted effort to review comparable/equal
equipment (e.g. Market Research). I have
attached the pertinent documentation showing what Market Research
was conducted to preclude other items from consideration.
Submitted:
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Signature: |
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Date |
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Typed/Printed Name: |
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Desktop: Noncompetitive Form 03/07